Thousand Oaks Rhinoplasty doctors

Chase Lay, MD Chase Lay, MD
Bay Area Facial Plastic Surgeon
10050 Bubb Road Suite #1, Cupertino
34 answers
S. Sean Younai, MD S. Sean Younai, MD
Beverly Hills Plastic Surgeon
16055 Ventura Blvd Suite 100, Encino
20 answers
Athleo Louis Cambre, MD Athleo Louis Cambre, MD
Los Angeles Plastic Surgeon
9201 Sunset Blvd Suite 214, Los Angeles
1 answer
Christopher Costanzo, MD Christopher Costanzo, MD
Thousand Oaks Plastic Surgeon
2190 Lynn Rd Suite 380, Thousand Oaks
1 answer
Kouros Azar, MD Kouros Azar, MD
Thousand Oaks Plastic Surgeon
425 Haaland Drive, Suite 200, Thousand Oaks

Recent Answers

Do You Recommend Augmentation Implant or Just Plain Alar Reduction? (photo)

Hello thanks for viewing,I have been wanting to do this for over a decade but I just dont know what the problem is . My mom tells me that it would be ugly to reduce the alar, that I should just opt for an implant to augment the bridge cause she says it will raise the sides of my alar, reducing the ridiculous flare (it looks like mickey mouse ears). I want the alar trimmed but I am scared if the results are bad, its irreversible. Whats the safest approach? I really hate the flare. Please help!:(

A: Nasal dorsal augmentation vs. alar base reduction

Hi Uluala1,

You can have a very concervative alar base reduction.  You can't really reverse it so it's good to be conservative. . .if you wanted to do a bit more much much later you could.  Keep in mind, when you smile your nasal ala will still flare a bit, even if you had an aggressive reduction.

You could start small wit just the alar reduction.  As for the bridge, it's pretty nice.  I would do minimal augmentation as most and you should probably "try it out" with a filler first.

What I see when you smile that adds to the flared look is that your tip (which is a nice tip) just minimally droops when you smile.  If you were to refine that and reinforce it with a cartilage graft it would look great.

But you know, you're nice fits your face.  Make sure you consult with a few facial plastic surgeons before doing anything.

Chase Lay, MD
Bay Area Facial Plastic Surgeon
Why is My Nose Red and Broken out 2 Weeks After Rhinoplasty?

I had rhinoplasty exactly 2 wks ago. My doc put tape across my nose after removing the splint, which I removed a few days ago. My nose has since become super broken out and I have red splotches across it. It looks like it is red and swollen like crazy. I put on some acne treatment but am worried that this persistent redness will cause broken capillaries & swelling. Should I be applying cold compresses to reduce the redness/swelling? What should I do? I'm scared it'll cause permanent damage

A: Nose swelling and redness after rhinoplasty in Los Angeles

It is very normal to get redness of the nose and/or skin breakout after surgery. irritation of the nasal skin from tape which is used for nasal implant does often contribute to buildup of oil in the nasal skin and skin breakout. cleaning nasal skin with cleansers is the best treatment.

S. Sean Younai, MD
Beverly Hills Plastic Surgeon
Do I Have Open Roof Deformity?

Six months ago, I had a closed rhino-septoplasty. Now, it feels like I have one thin, unconnected bone running down my nose, and when I touch the sides of my bridge, it feels like I have three separate bones. When I lightly squeeze both sides together, I get this strange sensation in my nose. Do I have an open roof deformity? I think this would also explain why one side of my nasal tip somewhat leans. My surgeon suggested a revision to correct my tip, but made no mention of ORD...Help?

A: Open roof deformity and revision rhinoplasty

Hello,

This does sound a bit like an open roof deformity but hard to say without an exam.  When comes to revision work, especially in one's own patient, surgeons tend to look at the cost-benefit to the patient and how much work they have to put out.  Often a surgeon will charge something for a revision.  I'm not saying this as a negative critique of your surgeon but this might be the case.  I would ask specificially, "Do you think I have an open roof and could your refer me to someone for another opinion?"  Gauge the response.

If you need a revision for an ORD it may be as simple as soft tissue grafting to the nasal dorsum with fascia from behind the ear or cartilage from the ear.  It could also require redo osteotomies and soft tissue grafting.  In either case it can be as much or more work than the original rhino.

Get a few consults.  If your surgeon is resistant then look into a revision at an academic center with a facial plastic surgeon or one in practice that actually enjoys revising noses.  It really can be difficult so you may not find a lot of true revision specialists.

Best of luck

Chase Lay, MD

Chase Lay, MD
Bay Area Facial Plastic Surgeon
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